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r '� <br /> fheF.vCg oF - . �ONSTRUCTION ;---, <br /> everett PERMIT PERMIT NO. 11521 <br /> CITY HALL 259�8745 <br /> t <br /> EVERETT.WA 98201 ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBINQ <br /> OWNER MAILADDRE55 CITY 21P PMONE <br /> William F. Richarda 1420 Hewitt Avenue Everett 98201 252-3251 <br /> ARCNRECTON�ESIGNER M�ILAODRC55 CITY ZIP pqppE <br /> GENER�LGONTMCTOH MAILADDPE55 Cltt 21P PNpNE LICENSEI <br /> Same <br /> MECHRNICALCONTRAGTOR MFIIADORE55 CITY ZIP PMONE IILENSE� � <br /> r <br /> PIUMBINGCONTBAC70R MRILADDRE55 GTY ZIP PHONE LICENSE� <br /> CUSS OF WOPK <br /> ONEW ❑ADDITION X�q�TEMTION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAMGE <br /> VAIUATION OF WOfiK <br /> I ( 800. �0 <br /> �ESCpIBE WORN <br /> Inatall dance floar <br /> PROPpSE�USE OF BUiLDING <br /> I HEREBY CERTIFY THAT I HAVE P.EAD AND EXAMINED THIS AP- <br /> IECRLC!:�..iIPTIONOFPBpPERTY(SHOWBELOWONATTACHfOUHCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 33 68� Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT eioc� TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFOR CE OF CANSTRUCTION. <br /> JOBRD�HESS SIGN�OICCO RACTO IED T DRTE <br /> 1420 Hewitt � 2/16/83 <br /> PLUMSINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EGUIPMENT FEE <br /> WATER CLOSET ROILET� AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) BOIlERS—HP,EA. <br /> SHUWER GAS fIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR 5'i STEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—B.T.U. M <br /> � IAUNDRV TRNV UNIT HEATERS—B.T.U. M <br /> CIOTHES WASHER EVAPORATIVE COOLEFS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN qANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNI7— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> RppF DRAINS—RAINLEADERS METAL FIREPLPCE 8 CHIMNEY <br /> SINK I�RVICE—BAR,ETC.1 — <br /> 1 8UlTOTAL SUlTOTAL i <br /> � PENMIT f PERMIT <br /> TOTAL FEE TOTALFEE <br /> SIDE YARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CMECN FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUIITION FEE <br /> TVPEOFCONST. OCCUPANCYGROUP NO.OFDWELLINGUNITS <br /> BUILOING f $00. 00 14 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> � PLUMBING J <br /> FIRE IONE BASEMENT FIRE SPRINKlERS - <br /> L REOUIRED MECHANICAL <br /> ❑1'ES ONO <br /> �OV� ar DATE OTHER <br /> 1. ENVIf10NMENTAL CHEp(LIST <br /> 2. BUILDIN6 PLANS PENA�Tr U.B.C. <br /> SEC.3W�a� <br /> 3. FIRE HYDMNT TOTAL 14 S O <br /> 1. FIRE PAOTECTION SVSTEM PEIIMIT YALIDATION <br /> 4 5. GMDING �NHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS Y R PE MI <br /> � � zses :,�� t �.�0 — .� <br /> N <br /> 7. ENVIPONMENTAL IMPACT STATEMENT � � <br /> B. MEALTH DISTRICT RC�EI� � <br /> APPLICATION ACC.BV PUNS CHECKED BY APPR.FOFi ISSUANCE BY <br /> DAS ' � HANK YQU _ <br /> � - <br />